Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dustin Kyle Baldwin

Individual provider Family Nurse Practitioner · NPI 1407534316

Dustin Kyle Baldwin is a Nurse Practitioner in Snowflake, Arizona. Qualified in 2023, 3 years ago. Practices with Summit Healthcare Medical Associates, a 73-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023

Practice location Address checks out

590 S Main St
Snowflake, AZ 85937-5228
Phone: (928) 536-7519
Fax: (928) 532-2139
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 294738 (AZ)

Record details

NPI number1407534316
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address590 S Main St, Snowflake, AZ 85937-5228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Healthcare Medical Associates — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Snowflake